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Methicillin-resistant Staphylococcus aureus (Panton-Valentine leucocidin) cavitating pneumonia in a healthy child
  1. Montasser Nadeem Gadelsayed,
  2. Peter Greally,
  3. Basil Elnazir
  1. Department of Paediatric Respiratory, National Children's Hospital, Dublin, Ireland
  1. Correspondence to Dr Montasser Nadeem Gadelsayed, National Children's Hospital, Tallaght, Dublin 24, Department of Paediatric Respiratory, Dublin, Ireland; drnadeem.gad{at}gmail.com

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A previously healthy 11-year-old girl presented with 2-week history of cough not responding to oral amoxicillin given by her general practitioner. Chest x-ray showed small dense lesion posterior to the left cardiac shadow, figure 1A. This progressed to right upper lobe consolidation two weeks later, figure 1B. She developed low-grade fever but remained otherwise clinically well. Chest CT showed multiple bilateral round infiltrates in the mid and lower lung fields, with some …

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